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MARISA M MANCUSO DO
NPI 1124647516
Pediatrics in Boardman, OH

Active since April 15, 2020
6505 MARKET ST, BOARDMAN, OH 44512(330) 543-8178 Get Directions Write a Review

NPPES record last updated: June 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2023, Apr 15, 2020 (2 updates tracked since 2020).

About Marisa M Mancuso Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA M MANCUSO DO (NPI 1124647516) is an individual pediatrics provider in Boardman, Ohio, licensed in Ohio (34.016662) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1124647516
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARISA M MANCUSOCredential: DO
Location Address6505 MARKET STBoardman, OH 44512-1063
Mailing Address1 Perkins SqAkron, OH 44308-1063 · (440) 476-5722
Phone(330) 543-8178
Sole ProprietorYes
Enumeration DateApril 15, 2020
Last NPPES UpdateJune 24, 20232 updates tracked since enumeration
NPPES CertifiedJune 24, 2023
✔ NPI 1124647516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 34.016662
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6505 MARKET ST, Boardman, OH 44512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN J ZAJAC CRNA
Nurse Anesthetist, Certified Registered
6505 MARKET ST, BUILDING B
BOARDMAN, OH 44512
Mahoning County (330) 758-1065
HI MOON AHN MD
Pediatrics
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 884-2425
MRS. REGINA M O'LEARY CRNP
Nurse Practitioner (Neonatal)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 480-2363
MR. STEPHEN JOSEPH RENSCHLER
Physical Therapist (Geriatrics)
6505 MARKET ST, BUILDING D
YOUNGSTOWN, OH 44512
Mahoning County (330) 884-2329
LOGAN BRYANT ISON PT, DPT
Physical Therapist (Sports)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 746-8100
SWARAJYA LAKSHMI PERNI MD
Radiology (Diagnostic Radiology)
6505 MARKET ST, BUILDING A SUITE 201
YOUNGSTOWN, OH 44512
Mahoning County (330) 884-2200
DR. KELSEY BROCKER PSYD
Psychologist (Clinical)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 746-8100
WILLIAM K NOWOTNY D.O.
Emergency Medicine
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 726-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Mancuso's NPI number?

The NPI number for Marisa Mancuso is 1124647516. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Marisa Mancuso located?

Marisa Mancuso practices at 6505 Market St, Boardman, OH 44512. The listed phone number is (330) 543-8178.

What is Marisa Mancuso's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Marisa Mancuso accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Marisa Mancuso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisa Mancuso was last updated on June 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.